The Department of Oncology Clinic (Center) of Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine (CACM) was officially announced by Yang Yufei, Director of the Clinic, on November 21, 2014, in the Lecture Hall of Apricot Garden Building of Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine (CACM). At the inauguration ceremony, leaders and experts, including BING Yuanyuan, Director of the Medical Management Division of the Medical Department of the State Administration of Traditional Chinese Medicine, Professor FAN Jiping, Vice President of the Chinese Academy of Traditional Chinese Medicine, HE Jun, Secretary of the Party Committee of Xiyuan Hospital of the Chinese Academy of Traditional Chinese Medicine, TANG Xudong, President of Xiyuan Hospital of the Chinese Academy of Traditional Chinese Medicine, Professor LIU Jianping, Dean of the School of Basic Medical Sciences of Beijing University of Traditional Chinese Medicine, and Professor SHEN Lin, Vice President of Beijing Cancer Hospital, were present and congratulated. Zhang Tong, Department of Oncology, Xiyuan Hospital, Chinese Academy of Traditional Chinese Medicine At the inauguration ceremony, Yang Yufei introduced the current situation and development plan of the Department of Oncology Diagnosis and Treatment to the guests in detail. The newly established Department (Center) of Oncology Diagnosis and Treatment will be based on the existing Department of Medical Oncology, still as a primary discipline with four secondary disciplines under it, which is both a successful experience of many hospitals for many years and a good organizational model for many disciplines to gain rapid development. We would like to take the above process as the pioneer of the strategy of “big specialty and small comprehensive” for the hospital as a whole to develop with the times. The specific idea is to take advantage of the development of oncology and anorectal medicine in Xiyuan Hospital, take the advantageous disease of colorectal tumor as a breakthrough, introduce the concept of modern hospital discipline construction, establish a tumor treatment department (center), take the road of multidisciplinary association, strengthen and consolidate the leading position of Xiyuan Hospital in the field of tumor, especially in the direction of colorectal tumor. The tumor treatment department (center) of Xiyuan Hospital of Chinese Academy of Traditional Chinese Medicine will establish colorectal tumor surgery, tumor rehabilitation room, radiation interventional treatment room, multidisciplinary treatment team and tumor research laboratory with the Department of Oncology of Xiyuan Hospital as the core, and form a multidisciplinary medical, teaching and research team of tumor with close collaboration and vertical and horizontal alliance with other related departments of pathology, radiology, anorectology, surgery and gastroenterology, so as to develop into a hospital with the main focus on comprehensive tumor treatment. It will develop into a comprehensive tumor treatment, scientific research and prevention center with Chinese and Western medicine combined, integrated treatment and multidisciplinary cooperation, which has considerable influence in China and even in the world, with comprehensive tumor treatment as the main body and characteristics. It is planned that after the first three years of construction, the treatment department (center) will reach the scale of 150 beds and the annual volume of tumor surgery (with colorectal cancer as the main disease) will reach 800 units, which will fully realize the all-round, multi-level and high-efficiency combination of Chinese medicine and Western medicine, internal medicine and surgery, clinical and basic, application and scientific research, hospital and community. The core goal is to build the center into a discipline brand with high influence and popularity in China based on scientific research and clinical support, to cultivate and establish an echelon of specialist talents who master the core technology of the discipline and lead the development direction of the discipline, to have a group of experts who are well-known in China, to form obvious advantages of the specialty, and to become a discipline “leading in China and reaching international level in some research fields. Advanced” discipline. We will strive to reach the standard of national key disciplines. To make the oncology department, anorectal department and surgery department form a colorectal cancer close cooperation consortium and get rapid development, and within one year the center will realize the integrated treatment mode with obvious curative effect, outstanding advantageous characteristics, health promotion, first-class service and outstanding social benefits. The overall goal is: to build the treatment department (center) into an interdisciplinary innovation team, with multidisciplinary participation and integrated treatment mode as the outstanding characteristics in the Chinese medicine tumor industry, and with comprehensive Chinese medicine tumor treatment as the distinctive banner in the field of multidisciplinary tumor treatment; to carry out a series of high-level, demanding and high-level scientific research; to form a set of unique, profoundly accumulated and practically tested theories of combined Chinese and Western medicine in tumor. It will form a set of unique, profound and practice-tested theoretical system of integrated Chinese and Western medicine for tumor; cultivate a group of multidisciplinary clinical talents and scientific research echelon for tumor with the awareness and ability of integrated Chinese and Western medicine and tumor treatment; build an industry brand with domestic and international influence, lead the industry standard and open the way for China’s medical reform; finally benefit the majority of tumor patients and improve the health level of all people. According to Yang Yufei, the tumor treatment department (center) will mainly adopt the following basic model. 1. Multidisciplinary Team (MDT) Model Multidisciplinary Synthetic Therapy (MDT) is an important model of tumor treatment at present. We plan to establish a multidisciplinary team consisting of medical oncologists, medical oncologists, pathologists, gastroenterologists, colonoscopists, anesthesiologists, radiologists, diagnostic radiologists, intensivists, stoma therapists, and rapid rehabilitation nurses to discuss patients before and after surgery on a weekly basis and determine treatment plans; to establish a multidisciplinary team consisting of surgeons, medical doctors, radiologists, rehabilitation physicians, pathologists, and other specialists. The multidisciplinary clinic composed of surgeons, physicians, radiologists, rehabilitation physicians, pathologists and specialist nurses is established to facilitate patients’ access to medical treatment, and multidisciplinary diagnosis and treatment is taken as the most basic mode of colorectal tumor diagnosis and treatment. Research-oriented team model Creating a research-oriented hospital is the development trend of first-class general hospitals and also the development direction and goal of Xiyuan Hospital. The Department (Center) of Oncology Diagnosis and Treatment will combine scientific research and innovation with talent echelon construction, insist on clinical and scientific research at the same time, form a research-oriented team with sustainable development and continuous independent innovation power, and pay attention to the transformation efficiency of scientific research results. We will make use of the advantages of the original disciplines to strengthen the discipline construction and strive to reach the national key discipline standard. Specifically, through the establishment of a multidisciplinary research model for tumor cooperation, we will realize the sharing of research cases and databases within the scope of the treatment department (center) through platform construction, and strive for all cases to be applied to different clinical research, and make full use of multidisciplinary crossover resources to carry out experimental tumor research. 3. Integrated Chinese medicine treatment and day ward treatment model Integrated Chinese medicine treatment is a concept firstly proposed by the Department of Oncology of Xiyuan Hospital, which is guided by the basic theory of Chinese medicine, combining evidence-based treatment with disease identification, and combining with modern science and technology, making rational use of different Chinese medicine treatments in a planned manner, maximizing the advantages of overall Chinese medicine treatment, and striving for the whole treatment of tumors. The oral administration of the tonic medicine is the main body of TCM comprehensive treatment, which should be used throughout the whole process of TCM treatment. Those who cannot eat normally can be given enemas with tonic medicine, while 1-2 kinds of tonic medicine preparations for eliminating evil or helping positive are taken orally, or 1-2 kinds of tonic medicine preparations for helping positive or eliminating evil are injected intravenously, besides, there are also TCM food therapy, TCM five elements music therapy, TCM footbath soaking therapy, qigong, acupuncture, TCM physiotherapy, TCM physical therapy, TCM tumor treatment, TCM tumor treatment, TCM tumor treatment and TCM tumor treatment. The day ward is the main part of the implementation of TCM integrated treatment, and will establish a medical model in which day treatment replaces all-day inpatient treatment and treatment chair replaces treatment bed, and carry out the above-mentioned series of TCM integrated treatment to improve the utilization of medical resources and provide patients with more convenient treatment mode, so that more tumor patients can receive TCM integrated treatment to improve their symptoms and improve their health. The above-mentioned series of TCM integrated treatment will improve the utilization of medical resources, provide more convenient treatment mode for patients, and let more tumor patients receive TCM integrated treatment to improve their symptoms and quality of life. 4. Innovation of combined Chinese and Western medicine treatment mode The Department of Oncology of Xiyuan Hospital attaches importance to the combination of Chinese and Western medicine, and has long-term friendly cooperation and communication with a number of domestic well-known Western tumor tertiary hospitals or specialties, which has built a bridge of harmonious communication between Chinese medicine and Western tumor community, and established a set of clinical ideas and methods of combining Chinese and Western medicine. In addition to continuing cooperation with Australia, Norway, Hong Kong and other countries and regions, we will also plan to introduce the innovative concept of integrated Chinese and Western medicine treatment from Harvard University and the University of Pennsylvania Cancer Center (Department of Complementary Alternative Medicine), establish friendly contacts and cooperation with relevant experts, and We will establish friendly relations and cooperation with relevant experts, and extend our mature concepts and models to major oncology centers in the United States to expand international influence. 5. Colorectal Surgery Model The Department of Colorectal Surgery will be established in the Center on the basis of the existing Department of Oncology and Department of Proctology, which is an important part of the multidisciplinary team and has important significance and long-term benefits. With the support of colorectal surgery, it can help realize the whole intervention of internal medicine, integrated diagnosis and treatment services, promote sustainable development, reduce the drug ratio and significantly increase the economic profit. The establishment of the Department of Surgical Oncology will take colorectal cancer as a breakthrough to achieve rapid follow-up of surgery, promote comprehensive, healthy and sustainable development of Xiyuan Hospital, and enhance comprehensive strength. It is planned to focus on the development of minimally invasive colorectal surgery, including laparoscopic techniques and transanal endoscopic tumor resection techniques. Nested the Department of Colorectal Tumor Surgery in the Department of Proctology, further develop it into a colorectal tumor ward, and eventually realize the Department of Tumor Surgery. Increase propaganda efforts to make the outside world agree with the advantages of Xiyuan Hospital in tumor surgical treatment agree with the important role of combining Chinese and Western medicine in the perioperative period of tumor. Strengthen the cooperation with diagnostic departments in the hospital as well as multi-foreign cooperation to increase the admission. 6. Integrated diagnosis and treatment service mode In the past work, Xiyuan Oncology Department has established a three-level network platform for TCM tumor prevention and treatment, as well as a TCM tumor registration center, and carried out tumor prevention and treatment for healthy people and TCM intervention for people with precancerous lesions in the community, realized dynamic follow-up of tumor patients, and actively suggested late stage terminal patients to return to the community. On the basis of this, the treatment department (center) will also vigorously promote the service mode of integrated treatment platform, changing the previous treatment mode of patients surrounding doctors and doctors passively waiting for patients to come to the tertiary hospitals, and transforming it into an active medical treatment mode, allowing doctors to surround patients and integrating the loose and blind medical treatment process, which required several departments in the past, into a core medical treatment process centered on tumor patients. Through the integrated medical treatment model, the innovative medical reform path is realized, and the whole dynamic management model of tumor prevention and treatment in the early stage, treatment in the middle stage and hospice care in the late stage is realized with TCM and TCM concept as the main intervention means and other disciplines as important auxiliary means. According to Yang Yufei, the tumor treatment department will adhere to the following ten basic concepts. 1. Multidisciplinary participation – patient-centered In developed countries such as Europe and America, not only the role of multidisciplinary team in tumor diagnosis and treatment is emphasized, but also its role in promoting social benefits and economic values. For example, the multidisciplinary team will regularly discuss preoperative and postoperative patients every week to determine the treatment methods; multidisciplinary outpatient clinic facilitates patients’ access to medical treatment and makes multidisciplinary consultation and treatment as the most fundamental part of colorectal tumor diagnosis and treatment. The multidisciplinary outpatient clinic is convenient for patients, and multidisciplinary treatment is the most basic mode of colorectal cancer diagnosis and treatment, which is conducive to reflecting the concept of “patient-centered” treatment. We provide efficient and fast consultation process for colorectal cancer patients, provide open channel for fast admission, and set up management mechanism for direct consultation and admission arrangement in wards to assist patients to get the most reasonable admission guidance and improve the quality of consultation. Realize the whole process of participation – with TCM as the main body Integrative view of TCM and TCM comprehensive treatment throughout the whole process of colorectal tumor treatment, the role and status of TCM has not been fully emphasized in the previous tumor multidisciplinary treatment team, so the treatment department (center) should highlight the role of TCM comprehensive treatment in tumor MDT, give full play to the characteristics and advantages of TCM, and integrate TCM treatment throughout the whole process of colorectal tumor treatment. Therefore, the treatment department (center) should emphasize the role of TCM in MDT, give full play to the characteristics and advantages of TCM, and integrate TCM treatment throughout treatment. Through TCM, we can speed up post-operative recovery and minimize complications for patients undergoing surgery; through TCM, we can reduce side effects during radiotherapy and chemotherapy, enhance patients’ immunity, improve patients’ treatment compliance and reduce post-operative recurrence and metastasis rate; through TCM, we can improve symptoms, reduce patients’ pain and improve their quality of life for patients in advanced stage by helping to dispel evil. In addition, TCM tumor comprehensive treatment includes a series of non-drug therapies such as TCM food therapy, TCM five elements music therapy, TCM foot bath, Qigong, acupuncture, TCM physical therapy, TCM external application and TCM psychological intervention, which have been widely recognized and praised by tumor patients during years of clinical application. Under the current medical condition, we have been trying to explore the chronic disease management mode applicable to tumor patients. The comprehensive treatment of TCM can influence the lifestyle and physical and mental status of tumor patients to a greater extent. Patients can learn to carry out tumor prevention and health care through daily diet, foot bath, music, qigong and other easy-to-use methods during treatment, which enhances the long-term therapeutic effect and is conducive to patients’ self-rehabilitation and disease management, which is in line with the concept of tumor prevention and treatment advocated by WHO. 3. Continuously strengthen innovation – driven by scientific research In the past 20 years since the establishment of the Department of Oncology of Xiyuan Hospital, with colorectal cancer as the main direction, a series of literature, clinical and experimental research has been carried out in depth, and as the construction team leader of colorectal cancer specialties in the 11th Five-Year Plan of the State Administration of Traditional Chinese Medicine and the construction unit of specialties in the 12th Five-Year Plan of the State Administration of Traditional Chinese Medicine. As the leader of the construction unit of colorectal cancer of the National TCM Administration in the 11th Five-Year Plan and the specialist construction unit of the National TCM Administration in the 12th Five-Year Plan, we directly organize and carry out nationwide multi-center major scientific research projects and actively carry out international cooperative research. Along this scientific research line, the Department will further improve the scientific research level of combined Chinese and Western medicine oncology based on the original achievement and foundation, pay attention to the methodological discussion, optimize the top-level design of scientific research, continuously strengthen the awareness and ability of innovation, and deeply combine with theoretical system research, pay attention to the transformation of scientific research results, and expand the scientific research direction to other advantageous tumor diseases. Insist on clinical and scientific research, combine independent innovation in scientific research with the construction of talent echelon, create research-oriented team, and promote Xiyuan Hospital to achieve the goal of first-class research hospital. 4. Digging deeper into the theoretical connotation – with academic thought as the soul The establishment of the treatment department (center) will be based on the concept of joint development and promotion of clinical and scientific research, attaching importance to the in-depth exploration of tumor theory and academic thought of TCM tumor, and further improving the academic level of theory and scientific research comprehensively on the basis of the original scientific research achievements. Theoretical system is the idea and soul of all clinical and scientific research. In nearly 20 years of combined Chinese and Western medicine tumor diagnosis and treatment, the Department of Oncology has explored the theoretical doctrine of Chinese medicine tumor treatment based on supporting the first and second heaven, the theoretical doctrine of Chinese medicine tumor etiology based on yin toxicity into tumor, and the theoretical doctrine of combined Chinese and Western medicine diagnosis and treatment based on exploring the advantageous population of Chinese medicine. At the same time, the theoretical doctrine of TCM needs to be integrated with modern medicine in order to summarize a real, objective, scientific and practice-testable theoretical system. We will further explore the possible mechanism of the treatment method of nourishing the spleen to support the latter part of the body represented by Si Jun Zi Tang and the treatment method of nourishing the kidney to support the first part of the body represented by Liu Wei Di Huang Wan to adjust the active immune function of the body and achieve the efficacy of tumor treatment by regulating the relationship between the “seed and soil” of the body. On the basis of the theoretical theories and academic thoughts on tumor combining Chinese and Western medicine, the treatment department (center) will further organize and improve the theoretical system with theoretical thinking of Chinese medicine as the core and integration of modern medicine. 5. Building research-oriented team – taking talent cultivation as the cornerstone Top-notch talents are one of the main supports for creating a research-oriented hospital. The Department of Oncology of Xiyuan Hospital has always attached importance to the cultivation of talents. The department now has three doctoral supervisors, all of whom are graduates of one batch and three batches of excellent clinical personnel programs of the National Administration, and every year it recruits and graduates several doctors and masters, regularly carries out postgraduate activities and teaching visits every week, attaches importance to the further study of young physicians, regularly sends the young backbone of the department abroad for further study, and actively introduces high-level talents to build the talent echelon of the department. At present, there are 15 clinicians in the center, 3 doctoral supervisors, 7 doctors, 3 post-docs and 12 masters, and it is planned to actively carry out domestic and foreign training for doctors in the center. In terms of staffing, there is one director and one deputy director of the center, two department directors and two deputy directors; the training of young and middle-aged disciplinary echelon talents will be strengthened, with emphasis on support, careful training and funding; it is expected that in a few years, the center will be able to exchange transport and transport for a few years. The company’s business model is to take risks, and the company’s business model is to take risks. Center management concept, medical quality management and monitoring to the person, medical quality of each treatment team, surgical complications, patient quality of life, survival rate and other indicators are monitored, and personnel and teams with declining treatment quality are retrained to improve the quality of clinical services. By fully utilizing the advantages of multidiscipline and the combination of Chinese and Western medicine, the 5-year survival rate of colorectal cancer in our center has reached the international leading level through collaborative construction. 7. Emphasis on health management – the ideal of treating the disease before it happens Colorectal cancer is a curable and preventable tumor. Based on the previous work of community colorectal tumor screening, early diagnosis and preventive treatment of colorectal cancer will be one of the key directions of development, actively carry out screening and prevention of colorectal tumors, actively promote colorectal We will actively carry out colorectal cancer screening and prevention, actively promote colorectal cancer prevention and treatment knowledge, raise people’s awareness of colorectal cancer prevention and treatment, and improve the level of colorectal cancer prevention and treatment. 8. Integrated diagnosis and treatment model – accelerated recovery as a service Introduce the concept of rapid recovery, accelerate postoperative recovery of colorectal cancer patients through multidisciplinary cooperation, and improve the quality and level of recovery. Fast-track surgery (FTS), also known as enhanced recovery after surgery (ERAS program), is a new surgical concept that adopts a series of optimal measures for perioperative management with evidence-based medical evidence to reduce the physiological and psychological traumatic stress of patients undergoing surgery, thereby reducing the risk of trauma. The ERAS program is a new surgical concept that uses a series of evidence-based perioperative management measures to reduce the physiological and psychological traumatic stress of patients undergoing surgery in order to accelerate recovery. The specific contents include: detailed introduction of the hospital environment, disease and its treatment process, and post-discharge precautions to eliminate patients’ unfamiliarity and fear of the hospital and treatment; adoption of minimally invasive techniques or the least invasive surgical approach to reduce surgical trauma; strict intraoperative warming measures; moderate but not excessive rehydration; minimal blood transfusion to avoid immune suppression; avoiding the abuse of gastrointestinal decompression, The patient’s intestinal tract should be prepared with a catheter and mechanical bowel preparation; the tracheal intubation should be removed as early as possible after surgery; epidural pain relief should be used; early feeding, restoration of enteral nutrition and out-of-bed activities should be carried out; antiemetics, antibiotics and symptomatic treatment should be applied appropriately. According to Yang Yufei, there are 6 secondary disciplines (rooms) under this department, namely: medical oncology, colorectal tumor surgery, tumor radiotherapy intervention room, tumor multidisciplinary treatment team MDT, tumor rehabilitation room and tumor research room. Among them, MDT includes the following 6 discipline member groups: medical oncology group, surgical oncology group, radiotherapy intervention group, pathology group, diagnostic imaging group, and rehabilitation group. The oncology research office includes theoretical and clinical research office, laboratory, and teaching and research office. Together, they realize multidisciplinary outpatient clinic, consultation, case discussion, scientific research and health management of tumor. The tumor rehabilitation room includes non-pharmacological treatment groups such as acupuncture group, sound therapy group, psychotherapy group, and health management group. The new location of the treatment department (center) is located in the former pediatric ward of Xiyuan Hospital. The layout and use of the rooms are divided into five main categories: a. Day ward: an area of about 45O, with 10-15 treatment chairs, a soft partition design to give patients private space, equipped with recreational facilities, planned to treat 20 patients per day; b. Rehabilitation room (non-pharmacological treatment room): an area of about 35-40O for the development of Chinese medicine five elements music therapy, food therapy, Chinese medicine foot bath therapy, the room using The overall environment is natural, fresh and conducive to physical and mental relaxation, open to the whole hospital and promote TCM non-pharmacological treatment; c. Tumor acupuncture room: area of about 30-35 square meters, 6-8 acupuncture treatment beds, soft partition design, fireproof and smoke-proof design; d. Multidisciplinary team seminar room: area of about 45-50 square meters, round-table conference room design, medical display Multimedia equipment; e. Intervention room: area of about 30 square meters, equipped with interventional treatment instruments and treatment beds, blackout design; f. Tumor research room: area of about 60-70 square meters, including tumor theory research room and teaching and research room, equipped with bookcases, desks, office equipment, discussion tables, blackboards and teaching multimedia equipment. The overall design style of the treatment department will realize the fusion of elegance and modernization, which can reflect the traditional cultural characteristics of TCM and give full play to high-tech factors; the overall music public play design, with the five elements of TCM music playing in the background, constantly changing according to the seasons and times of the day, and always feeling the physical and mental pleasure brought by TCM and traditional culture. It is planned to complete the construction and decoration of the new site of the treatment department (center) at the end of February 2015, relocate one after another in March, and officially launch related projects in April.